Insurance Verification Specialist

4 months ago


Miami, United States Marcos Consulting Group Inc Full time
Job DescriptionJob Description

Busy Podiatric Office looking for an insurance verification specialist. Experience with Podiatric services a plus

  • Conduct insurance verification and authorization validation on scheduled patients to ensure eligibility and that benefits are in order for accurate claim submission and payment.
  • Contact the Payer directly via telephone, and/or access payer website.
  • Requests pre-authorization for scheduled procedures, urgent procedures, and imaging.
  • Accurately notate the account with actions taken for pre-certification.
  • Coordinates Peer-to-Peer reviews with Providers for denied requests.
  • Follows up on pending authorization requests in a timely manner.
  • Communicates with the patient and/or office regarding the patient’s financial responsibility, to ensure the Front Office is able to collect money such as copayments, deductibles, and co-insurance for the procedures.


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